Providence Community Aba

LBN: Providence Community Aba
Providence Community Aba is an health care organization with primary practice located at 22 Kassy Ln , Stafford VA 22556-6577. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Providence Community Aba can be contacted via phone (253) 722-9152, or through Nkematabong, Bridget L via phone (253) 722-9152.

Contact Information

Primary practice address
22 Kassy Ln Stafford VA 22556-6577
Phone: (253) 722-9152
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nkematabong, Bridget L
Phone: (253) 722-9152

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1902570443
LBN Legal business name Providence Community Aba
DBA Doing business as
Authorized official Nkematabong, Bridget L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2021
Last updated Jan 23rd, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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